Link to the list of drugs preferred by MassHealth based on supplemental rebate agreements between MassHealth and drug manufacturers. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing a non-preferred drug within a therapeutic class.

Link to the list of brand name drugs that MassHealth prefers over their generic equivalents because the net cost of the brand name drug adjusted for rebates is lower than the net cost of the generic equivalent. In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing the non-preferred drug generic equivalent.

Link to a list of non-drug products that MassHealth pays for through the Pharmacy Online Processing System (POPS).
Please click on the Prior Authorization Forms tab above or click on the link below to access the Prior Authorization (PA) form for the Hyaluronan injections.
Hyaluronan Injections PA form